Abstract
Purpose of the Study
The aim of this study was to show the clinical results of postoperative evaluation of cases of imperforate hymen that presented at our center during a 21-year period.
Methods
A Foley’s catheter was inserted in 74 patients of imperforate hymen who reported to the Department of Obstetrics and Gynecology, Meram Faculty of Medicine, Necmettin Erbakan University, between January 1, 1996, and December 31, 2016 with history of pelvic pain. In each case, the hymen was opened via a circular incision from the central of the distended. A Foley’s catheter was inserted, and estrogen cream was prescribed for application on the hymenal structure for 14 days. The catheter was removed after 14 days.
Results
The mean age of the patients at the time of this study was 28.3 ± 2.6 years, and the mean age at diagnosis was 13.2 ± 2.5 years. Twenty-nine (96.6%) patients had experienced vaginal bleeding during their first sexual intercourse experience, and one patient (3.4%) had not. Fourteen out of the 30 married women had become pregnant, of whom nine had delivered vaginally and five had delivered via a cesarean section. After undergoing renal ultrasound, none of the patients had any apparent anomalies. Only one patient had a uterine anomaly, which was a bicornuate uterus.
Conclusion
A circular incision with insertion of Foley’s catheter prevents many social problems by preserving the hymen’s architecture and allowing vaginal bleeding to occur during the first sexual intercourse experience.
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References
Dietrich JE, Millar DM, Quint EH. Obstructive reproductive tract anomalies. J PediatrAdolescGynecol. 2014;27:396–402.
Lankford JC, Mancuso P, Appel R. Congenital reproductive abnormalities. J Midwifery Womens Health. 2013;58:546–51.
Basaran M, Usal D, Aydemir C. Hymen sparing surgery for imperforate hymen: case reports and review of literature. J PediatrAdolescGynecol. 2009;22:61–4. https://doi.org/10.1016/j.jpag.2008.03.009.
Liang CC, Chang SD, Soong YK. Long-term follow-up of women who underwent surgical correction for imperforate hymen. Arch Gynecol Obstet. 2003;269:5–8.
Cetin C, Soysal C, Khatib G, et al. Annular hymenotomy for imperforate hymen. J Obstet Gynaecol Res. 2016;42:1013–5.
Ulfelder H, Robboy SJ. The embryologic development of the human vagina. Am J Obstet Gynecol. 1976;126:769–76.
Temizkan O, Kucur SK, Ağar S, et al. Virginity sparing surgery for imperforate hymen: report of two cases and review of literature. J Turk GerGynecolAssoc. 2012;13:278–80.
Acar A, Balci O, Karatayli R, et al. The treatment of 65 women with imperforate hymen by a central incision and application of Foley catheter. BJOG. 2007;114:1376–9.
Ali A, Cetin C, Nedim C, et al. Treatment of imperforate hymen by application of Foley catheter. Eur J Obstet GynecolReprod Biol. 2003;106:72–5.
Shaw LMA, Jones WA, Brereton RJ. Imperforate hymen and vaginal atresia and their associated anomalies. J R Soc Med. 1983;76:560–6.
Egbe TO, Kobenge FM, Wankie EM. Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review. SAGE Open Med Case Rep. 2019;7:1–7.
Ludwin A, Ludwin I, Bhagavath B, et al. Virginity-sparing management of blind hemivagina in obstructed hemivagina and ipsilateral renal anomaly syndrome. FertilSteril. 2018;110:976–8.
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Ali Acar, M.D., is a Professor, Department of Gynecology and Obstetrics, Meram School of Medicine, University of Necmettin Erbakan, Konya, Turkey; Fedi Ercan, M.D., is a Fellow, Department of Obstetrics and Gynecology, Division of Perinatology, Sanliurfa Training and Research Hospital, Sanlıurfa, Turkey; Osman Balci, M.D., is a Professor, Department of Gynecology and Obstetrics, Meram School of Medicine, University of Necmettin Erbakan, Konya, Turkey; Adeviye Elçi Atilgan, M.D., is a Assistant Professor, Department of Gynecology and Obstetrics, Meram School of Medicine, University of Necmettin Erbakan, Konya, Turkey; Cemre Alan, M.D., is a Specialist, Department of Gynecology and Obstetrics, Meram School of Medicine, University of Necmettin Erbakan, Konya, Turkey; Kemal Niftiyev, M.D., is a Specialist, Department of Gynecology and Obstetrics, Meram School of Medicine, University of Necmettin Erbakan, Konya, Turkey.
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Acar, A., Ercan, F., Balci, O. et al. Long-Term Results of an Imperforate Hymen Procedure that Leaves the Hymen Intact. J Obstet Gynecol India 71, 168–172 (2021). https://doi.org/10.1007/s13224-020-01407-4
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DOI: https://doi.org/10.1007/s13224-020-01407-4